ML13289A170

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NPDES Permit No. TN0026450 - Water Withdrawal Report
ML13289A170
Person / Time
Site: Sequoyah  Tennessee Valley Authority icon.png
Issue date: 02/12/2009
From: Howard S
Tennessee Valley Authority
To:
Office of Nuclear Reactor Regulation, State of TN, Dept of Environment & Conservation
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Download: ML13289A170 (10)


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858 090212 800 - NPDES S58 NPDES CORRESPONDENCE CORRESPONDENCE February 12,12, 2009 State of Tennessee Department Environment and Conservation Department of Environment Division of Water Supply Supply Compliance Review Section th h

61 Floor, L &

6 Floor, & C Tower Tower 401 Church Street Nashville, Tennessee 37243-1539 37243-1539 To whom it may concern:

TENNESSEE VALLEY AUTHORITY TENNESSEE AUTHORITY (TVA) - SEQUOYAH NUCLEAR PLANT (SQN)

SEQUOYAH NUCLEAR (SQN) - NPDES NPDES PERMIT PERMIT NO. TN0026450 - WATER WATER WITHDRAWAL WITHDRAWAL ANNUAL UPDATE UPDATE in accordance with the provisions of the Tennessee Water Information Act of 2002, Water Resources Information Withdrawal Registration Forms for SON 69-7-301 et seq., enclosed are completed Water Withdrawal T.C.A. 69-7-301 T.CA SQN for calendar year 2008.

promulgated by As previously reported, federal agencies are not subject to laws and regulations promulgated by state governments Congress has clearly waived the federal government's governments unless Congress government's sovereign immunity. However, TVA has voluntarily agreed as a mattermatter of policy to provide the registration TVA and TDEC information to assist both TVA information management responsibilities.

TDEC in carrying out their water management management programs, TVA By voluntarily cooperating with the State of Tennessee in its water management TVA immunity it may have under the Constitution from State regulation and does not waive any immunity control, nor manifest manifest any position on who may control or own the water.

Should you have any questions or need additional information, information, please contact me at 423-843-by e-mail at sahoward@.tva.gov.

6700 or bye-mail sahoward(,tva.gov.

Sincerely, Stephanie A. Howard Principal Environmental Environmental Engineer Signatory Authority for Timothy P. Cleary Site Vice President President Sequoyah Nuclear Plant

Enclosure cc (Enclosure):

Chattanooga Environmental Assistance Center U.S. Nuclear Regulatory Commission u.S.

Division of Water Pollution Control ATTN: Document Control Desk ATTN: Document State Office Building, Suite 550 Washington, D.C. 20555 540 McCallie Avenue 37402-2013 Chattanooga, Tennessee 37402-2013 cc: D. J.

D. J. Bodine, POB 2A-SQN A. A. Ray, WT 7C-K 7C-K C. R. Church, POB 2B-SQN B. A. Wetzel, OPS 4A-SQN P. Cleary, OPS 4A-SQN T. P. 4A-SQN R. Signer, WT 6A-K G. R.

E. Pittman, BR 4T-C D. E.

D. EDMS, (Enclosure)

EDMS, WT CA-K (Enclosure)

REVIEW/CONCURRENCE SHEET REVIEW/CONCURRENCE SHEET DOCUMENT NAME:

DOCUMENT NAME: TENNESSEE TENNESSEE VALLEY VALLEY AUTHORITY AUTHORITY (TVA) (TVA) -- SEOUOYAH SEQUOYAH NUCLEAR NUCLEAR PLANT (SQN) - NPDES PLANT (SON) - NPDES PERMIT NO. PERMIT NO. TN0026450 TN0026450 -- WATERWATER WITHDRAWAL WITHDRAWAL ANNUAL ANNUAL UPDATE UPDATE ORGANIZATION: Chemistry ORGANIZATION: Chemistry and and Environmental Environmental DOCUMENT PREPARED DOCUMENT PREPARED BY: BY: Ann Hurt DATE: 02/09/2009 DATE: 02/09/2009 EDMS TRACKING NO.:

EDMS TRACKING NO.: S58S58 090212 090212 800 800 -- NPDES NPDES Correspondence Correspondence CONCURRENCES CONCURRENCES Name Name R R C C Signature - Comment Signature Date V N N

Ann Hurt Ann Hurt xx Kt4-A iLA5 Stephanie Stephanie A A Howard Howard X , i(,(

X Alan K Alan Barringer K Barringer X X

Debra Debra JJ Bodine xx )

Beth A.

Beth A. Wetzel Wetzel xX I?

Chris R Church xx Timothy Timothy P Cleary Cleary xx ..

Stephanie Stephanie A. A. Howard Howard x -, - -/ti' d x A A (for signature)

(for signature)

INSTRUCTIONS:

INSTRUCTIONS: Originator Originator will will determine determine the the review/concurrence assignment.

REVIEV:

REVIEW: Examine Examine technical technical content content and and commitments commitments made. made. A review review (RV)

(RV) should should confirm confirm the the truth truth and and accuracy accuracy of factual statements statements and and indicate agreement with commitments made indicate agreement with commitments made which are applicable towhich are applicable to the the reviewer's reviewer's organization.

organization.

CONCURRENCE:

CONCURRENCE: Indication Indication of of agreement agreement with with thethe document document as as aa whole.

whole.

Concurrence (CN) signifies that the document Concurrence (CN) signifies that the document is responsive is responsive to thethe intended purpose, logical in construction, intended purpose, logical in construction, and and clear clear inin meaning meaning in in the the eyes eyes ofof thethe recipient.

recipient. A A concurrence concurrence signature signature indicates indicates that that the the individual individual wouldwould be be willing willing toto sign the the document document for for the agency.

Tennessee Valley Authority, Authority, Post Office Box 2000, Soddy Daisy, Tennessee 37384-2000 February 12, 2009 State of Tennessee Department of of Environment and Conservation Division of Water Supply Water Supply Compliance Compliance Review Section th 6"h Tower 6 Floor, L & C Tower 401 Church Church Street Nashville, Tennessee 37243-1539 To whom it may concern:

TENNESSEE VALLEY TENNESSEE VALLEY AUTHORITY AUTHORITY (TVA) - SEQUOYAH SEOUOYAH NUCLEAR NUCLEAR PLANT (SQN) (SON) - NPDES NPDES PERMIT NO. TN0026450 - WATER PERMIT WATER WITHDRAWAL WITHDRAW,l\L ANNUAL ANNUAL UPDATE UPDATE In accordance with In accordance with the the provisions of the Tennessee Water Information Act of 2002, Water Resources Information T.C.A. 69-7-301 et seq., enclosed are completed Water Withdrawal Regist SQN Regist: ation Forms for SON for calendar year 2008.

As previously reported, federal agencies are not subiect to laws and regulations promulgated by by state governments governments unless Congress has clearly waived the federal government's government's sovereign sovereign immunity. However, TVA TVA has vo!untarily voluntarily agreed as a matter of policy to provide the registration information to assist both TVA and TDEC TDEC in carrying out their water management management responsibilities.

By voluntarily cooperating with the State of Tennessee in its water management management programs, TVA TVA does not waive any immunity immunity itit may have under the Constitution Constitution from State regulation and control, nor manifest any pOSition position on who may control or own the water.

Should you have any questions or need additional information, please contact me at 423-843- 423-843-6700 or by e-mail at sahowardtva.qov.

bye-mail sahoward@tva.gov.

Sincerely,

("k, Stephanie A. Howard Environmental Engineer Principal Environmental Engineer Signatory Authority for Timothy P P. Cleary Site Vice President Sequoyah Sequoyah Nuclear Plant

Enclosure cc (Enclosure):

Chattanooga Environmental Environmental Assistance Center Center U S. Nuclear Regulatory Commission US.

Division of Water Pollution Control ATTN: Document Document Control Control Desk Desk State Office Building, Suite 550 Washington, D.C. 20555 20555 540 McCallie Avenue Chattanooga, Tennessee 37402-2013 37402-2013

DEPARTMENT OF DEPARTMENT OF ENVIRONMENT ENVIRONMENT AND AND CONSERVATION CONSERVATION DIVISION OF DIVISION 0 F WATER WATER SUPPLY SUPPLY th Floor L & C Tower, 401 Church Street 6 1h 6 Floor L & C Tower, 401 Church Street Nash,ille, Tennessee Nashville, Tennessee 37243-1539 37243-1539 (615) 532-0191 (615)

WATER

\VATER WITHDRAWAL WITHDRAWAL REGISTRATION REGISTRATION In accordance accordance with thethe provisions l)[ovisions of of Tennessee Code Code Annotated Annotated Section Section 69-7-301 et et seq.,

seq., the the Water Water Resources Resources Information Infonnation Act;Act; this this registration registration is required required for anyone anyone withdrawing withdrawing an an average average of 10,000 gallons of 10,000 gallons or or more of water water per per day.

PART A. FACILITY FACILITY & & CONTACT CONTACT INFORMATION 1.WitndraW(tl I WVithdrawal :&egistrationNo.:

1ReglstrattoiiNo.: 628 628 (ForOfficiaIUseOnlY)

(For Official Use 01nly) . **.*

2.

2. Water Water User: TVA-SEQUOYAH TVA-SEQUOY AH NUCLEAR NUCLEAR PLANT PLANT Type: THERMAL THERMAL PLANTPLANT (Nuclear)

Mailing Mailing Address: P.O. BOX 2000 SB-2A-SQNSB-2A-SQN City: SODDY-DAISY SODDY-DAISY TN State: ---------------- Zip: 37384-2000 37384-2000 3.

3. Location (if different from mailing address): address):

Street Address:

Address: SEQUOYAH SEQUOY AH ACCESS ACCESS ROAD City: SODDY-DAISY SODDY-DAISY State: TN Zip: 37384-2000 37384-2000 4.

4. Number Number of employees at location: location: 832 832 5.
5. Indicate the contact individual for water withdrawal withdrawal information:

information:

Name: Stephanie A. A Howard

Title:

Principal Principal Environmental Environmental EngineerEngineer e-mail: sahoward@tva.gov sahoward@tva.gov Phone: 423-843-6700 Fax: 423-843-7080 423-843-7080


~--~-----------

PART B. WATER USE REPORTING PERIOD Seasonal Seasonal Beginning Ending Ending

6. Year: 2008 Withdrawals
6. Withdrawals (Month/Year): N/A_ _ _ _ _ (Month/Year):

_N_I_A N/A (Month/Year): _N=-:...::./A-=--_ __

7. Water Registration: (Check One): New Operation X Renewal 8.
8. List any water problems you have experienced in the last reporting period: N/A N/A
9. Number of days ground water (springs and wells) has been withdrawn during the year: 0
10. Number of days surface water (streams) has been withdrawn withdrawn during the year: 366 11.
11. number of days water has been withdrawn during Total number during the year: ...,.-_ _ _ _3_6_6_ 366 No surface or ground water is withdrawn-all withdrawn-all water is purchased from: NI N/AA CN-1226 (Rev.(Rev. 12/06) 12/06) RDA 2854

12.

12. Classification of Water Classification Water Use (Use (Usc all that Apply) and Percentage Percentage of Total use:

% a) Domestic water use (drinking, human consumption and general sanitation sanitation uses)

___ %  % b) Institutional or other general uses (lawn watering, laundry)

% c)

(Yo c) Irrigation Irrigation of of crops, crops, pastures pastures and nursery stock stock

% d) d) livestock watering (includes(includes feed lots, dairy sanitation and fish fam1ing) fanning)

% e) navigation navigation (lock usage and flow augmentation augmentation for navigation) navigation) 100 % % t) thermoelectric thermoelectric power production, production, including including cooling ptrposes (excludes cooling pm-poses (excludes hydroelectric) hydroelectric)

% g) recreational

% recreational use, park use, golf course irrigation, water water park use

% h) industrial industrial uses include manufacturing, food processing, washing, and cooling

% i) hydroelectric hydroelectric power generationgeneration (provided none of it is used consumptively)

% j) mining (milling or where water water is used to wash or process an ore) are)

% k) dewatering (mining, quarry rock production, other operations operations where water is withdrawn) withdrawn)

% 1) 1)any other use not defined above, above Describe:

00 % Total (Must equal 100%)

]100 100%)

PART C. WATER WATER WITHDRAWALWITHDRAWAL INFORMATION INFORMATION (Attach additional additional sheets if necessary)

Year I 2008 I G SS River River Longitude Longitude Method Method of of Million Million Gallons Gallons I.D. #

LD. Source Name P pI 1

County County Mile Latitude Latitude 2 2 Measure33 Withdrawn N/A TN River River (CCW) S Hamilton Hamilton 485.2 35-13-33 85-05-13 B 589723.2 589723.2 TN RiverRiver N/A (ERCW) S Hamilton Hamilton 484.85 35-13-32 85-05-03 B 23126.4 23126.4

13. Total Volume
13. Volume Withdrawn in Million Million Gallons=

GaJIons= 612849.6 612849.6

14. Average Average Daily Water Withdrawal for year (Line 13 divided by Line 11)=

11)= 1674.5 .'

15. Max. Daily Water Withdrawal (MG): 1674.5
15. 1674.5 Occurred in the Month of: any month 3

I'G=Ground G=Ground water water (well or spring); Method of Measurement 3Method Measurement Key:

S=Surface water (stream, river, holding A=Flow Meter A=Flow Meter pond, lake); B=Calculated using pump B=Calculated using pump capacity capacity rating rating and and duration duration of of P=Purchased P=Purchased water pumpage pump age C=Capacity C=Capacity of vessel holding waterwater (Check One)

(LUeCK une)

D=Electronic flow measurement D=Electronic measurement 2Datum:

Datum:

Dl NAD 27 NAD27 D L NAD 83 NAD83 E=Other (explain E=Other (explain below:)

PART D. D. WATER WATER DISCHARGE DISCHARGE (Attach additional sheets if if necessary)

Year I Year 2008 I Percent Million Percent Million Discharge Site River NPDS of Gallons Gallons I.D. #

LD. Name44 Mile County Permit U# Latitude Latitude Longitude Longitude effluent effluent Returned Returned TN River 101 (Diffuser) 483.65 Hamilton TN0026450 35-12-35 85-05-14 99% 567338.00 116 TN River (CCW) 485.2 Hamilton TN0026450 35-13-33 85-05-13 85-05-13 <1%

<1% 2.19 2.19 TN River 117 (ERCW)

(ERCW) 484.85 Hamilton TN0026450 35-13-32 85-05-03 85-05-03 <1%

<1% 5.11 5.11

16. I Total Volume of Water
16. 1 Total Volume of Water Returned (Effluent or Discharge) in Million Discharge) Million Ganons Gallons equals: 567345.3 4Examples of discharge sites: stream, well injection, spray, public sewer system, septic 4Examples of discharge sites: stream, well injection, spray, public sewer system, septic tank, field tile PART E. SIGNATURESIGNATURE II hereby certify certify that the information on this form is true and complete complete to the best of my knowledge.

Print Print Stephanie Stephanie A. A. Howard Signatory Authority for Timothy Howard Signatory

16. Name: P.

P Cleary Site Vice President PresideIl;t Sequoyah Sequoyah Date: _2/_1_2/_2_0_0_8 2/12/2008 _ _ _ _ __

17. Signature:

Signature:.

. Lh- iJ,*, ,,' " i f ;/ I . ""

./A! u.:.,,/-, Ii lL~1 "c._~. l,*\. 'l-fG'CA.A (,_

2/06_-_2_-_RDA2854

~1 CN- 1226 (Rev. 12/06)

CN-1226 12/06) RDA 2854 RDA2854

E~AGPCUI iRE 1-'

STATE OF TENNESSEE STATE TENNESSEE DEPARTMENT ENVIRONMENT AND CONSERVATION DEPARTMENT OF ENVIRONMENT CONSERVATION DIVISION OF WATER DIVISION WATER SUPPLY SUPPLY 6th Floor, 401 Church Street Street Nashville, Tennessee 37243-1539 615-532-0191 615-532-0503 FAX 615-532-0503 Janumy 8, 2009 January STEPHANIE A. HOWARD, PRINCIPALENV.

STEPHANIE PRINCIPAL ENV. ENGINEER ENGINEER 628 628 TVA-SEQUOYAH TVA-SEQUOYAH NUCLEAR PLANT PLANT P.O. BOX 2000 SB-2A-SQN SODDY-DAISY, TN 37384-2000 37384-2000 RE: Annual Annual Water Withdrawal Withdrawal Registration

Dear MS. HOWARD,

HOWARD, The Tennessee Information Act of 2002, T.C.A. 69-7-301 et. seq., requires all persons Tennessee Water Resources lnfonnation withdrawing 10,000 gallons withdrawing 10,000 gallons or more of water per day to register register the withdrawal with the state on an annual basis. 2008 Water Withdrawal Registration forms are due back to the Division Division of Water Supply no later than February 15, Supply 2009.

15,2009.

Enclosed Enclosed is aa 2008 Water Withdrawal Withdrawal Registration form fonn for TVA-SEQUOYAH TVA-SEQUOYAH NUCLEAR NUCLEAR PLANT.

Please Please correct any contact information that has changed, complete contact information complete your 2008 water withdrawal data, sign and return form to the Division return the fonn Division of Water Water Supply by FebruaryFebruary 15, 15, 2009. The form may also be downloaded downloaded from our web web site at http://state.tn.us/environment/dws/WWregprog.shtml http://state.tn.us/environment/dws/WWregprog.shtml under the "Water "Water Withdrawal Registration Form". The regulations can also be Registration Fonn". be accessed accessed from our web site.

Next year, Next you will year, you will be required to submit monthly water withdrawal data.

be required data. Enclosed is a sample form. If not already already doing so, begin logging your monthly monthly water withdrawal withdrawal data in 2009.

Failure to Failure to register water withdrawals is a violation of the Act and subjects the person withdrawing withdrawing water to enforcement to enforcement action including including a civil penalty for failure to register the amount of water withdrawn. The withdrawal withdrawal of of surface surface water water may may also require an Aquatic Resource Alteration Permit (ARAP). If you also require have questions on ARAP requirements, have questions on ARAP requirements, visit http://www.state.tn.us/environmentlpennits/arap.shtml http://www.state.tn.us/environment/permits/arap.shtml or call the Division Division of Water Pollution Pollution Control at 615-532-0625.

615-532-0625.

If If you you have any questions have any concerning Water questions concerning Withdrawal Registration requirements, Water Withdrawal requirements, please contact contact Wayne Muirhead at 615-253-4067 wayne.muirhead hstate.tn.us 615-253-4067 or wayne.muirhead0lstate.tn.us Sincerely, Robert L. Foster, Jr.

Robeli Director Division Division of Water Water Supply Supply 22

Enclosures:

Enclosures:

2008 Water Withdrawal 2008 Water Withdrawal Registration Form, Fonn, 2009 Water Withdrawal Withdrawal Form Form (Draft) 629 628

WATER WITHDRAWAL WATER WITHDRAWAL REGISTRATION REGISTRATION The Tennessee The Tennessee DepartmentDepartment of of Environment Environment and and Conservation Conservation (TDEC), (TDEC), Division Division of of Water Water Supply Supply (DWS)

(DWS) under the Water Resources Information Act of the Water Resources Information Act of 2002 (T.C.A. §§ 69-7-301 et seq.) 2002 (T.C.A. §§ 69-7-301 et seq.) maintains aa water water withdrawal withdrawal registration in order to better protect the water resources of the registration in order to better protect the water resourceS of the State. The registration of water State. The registration of water withdrawals applies to all to all persons persons withdrawing withdrawing water water from from either either aa surface surface waterwater or or ground ground wate.r water source source if if the the average withdrawal withdrawal meets or meets or exceeds exceeds 10,000 10,000 gallons gallons aa day day for for any any purpose, purpose, exceptexcept thosethose excluded excluded by by the the Act.

Act. Uses Uses specifically specifically excluded include excluded include water used water used for for agriculture, agriculture, nonrecurring nonrecurring withdrawals withdrawals of of water, water, andand water water withdrawn withdrawn for an an emergency use.

emergency use. Also,Also, water water purchased purchased from from aa utility utility or or anan industry industry is is not not required required to to be reported. All All entities entities withdrawing water, withdrawing water, whether whether required required or or excluded excluded by by the the Water Water Resources Resources Information Information Act Act of of 2002, are are encouraged to submit an annual Water encouraged to submit an annual Water Withdrawal Registration to Withdrawal Registration to the the TN 1N Division Division of of Water Water Supply Supply so that accurate documentation accurate documentation of of water water use use isis available available for for present present and and future future Tennessee Tennessee water resource resource studies.

INSTRUCTIONS:

INSTRUCTIONS:

The registration The registration of of aa withdrawal withdrawal is is done done annually.

annually. Data Data reported reported should should be based on on a calendar year and and reported by reported by February 15February 15 of of the the next next year.

year. To To detennine determine if if the the volume volume of of water water withdrawn withdrawn meets meets thethe requirement of requirement of an an average average withdrawal withdrawal of of 10,000 10,000 gallons gallons per per day, day, divide divide the the total total amount of water withdrawn withdrawn (line 13)

(line 13) by by thethe number number of of days days (line (line 11)11) that that water water is is withdrawn.

withdrawn. A "New Operation" may not have any historical data on which to base its withdrawal historical data on which to base its withdrawal data. Estimate or data. Estimate or indicate indicate the the amount of water anticipated to be withdrawn. If this is a renewal, report be withdrawn. If this is a renewal, report the amount withdrawn the amount withdrawn during the past year in Part C.

Part A.

Part A. Facility Facility & & Contact Contact Information

1. The
1. The Withdrawal Withdrawal Registration Registration No. No. is is assigned assigned by by thethe Division Division of of Water Supply (DWS). Report Report all annual water withdrawals using your assigned Withdrawal water withdrawals using your assigned Withdrawal Registration Number. Leave Registration Number. Leave blank blank forfor new operations.

22 through through 5. Complete the

5. Complete the facility facility and and main main contact contact information.

information. Select Select typetype of water users (industrial, irrigation, mining, or irrigation, mining, or thermal plant). thermal plant).

Part B.

Part Water Use B. Water Use Reporting Reporting Period 6.

6. Indicate Indicate year, year, the beginning month/year the beginning month/year and and the the ending month/year if withdrawals ending month/year withdrawals are seasonal.
7. Check
7. Check new new or or renewal renewal water withdrawal registration.

water withdrawal

8. List
8. List any any water water problems encountered during problems encountered during thethe year year (supply, (supply, quality, quality, flooding, flooding, turbidity).

99 to 11 Complete the days water to 11. Complete the days water is withdrawn from is withdrawn from ground ground waterwater and/or and/or surface water sources and give surface water give a total number total number of of days days water water is is withdrawn withdrawn (line (line 11).

I 1).

12.

12. Indicate Indicate the the percent percent of of water water usedused forfor any any of of the the 12 12 water water use use classifications applicable to your company classifications applicable company during the year: a) domestic water use during the year: a) domestic water use includes all water withdrawn includes all water withdrawn by utility districts, municipal public water systems, subdivisions, water systems, subdivisions, prisons, prisons, colleges, colleges, and and most most small small commercial commercial establishments establishments where where water water is used for drinking, for drinking, human human consumption consumption and and general general sanitation, sanitarion, b) b) institutional institutional or or other general general uses (lawn (lawn watering, watering, laundry),

laundry), c) c) irrigation irrigation of of crops crops and and nursery nursery stock, stock, d) d) livestock livestock watering watering (includes (includes feed feed lots, dairy sanitation lots, dairy sanitation and and fish fish fanning) fanning) e) e) navigation navigation (lock (lock usage usage andand flow flow augmentation augmentation for for navigation),

navigation), f) 1) thermoelectric thermoelectric powerpower production, including production, including cooling cooling purposes purposes (excludes (excludes hydroelectric),

hydroelectric), g) g) recreational recreational use, use, park park use, golf golf course course irrigation, irrigation, and water park and water park use, use, h)h) industrial industrial uses uses include include manufacturing manufacturing processing, processing, washing, washing, and and cooling, cooling, including food processing, but including food processing, but excluding mining relatedexcluding mining related uses, uses, i) i) hydroelectric hydroelectric power power generation generation (provided (provided none none of of itit is is used used consumptively),

consumptively), j) j) mining mining (milling (milling or or where where waterwater is is used used to washwash or or process process an ore),

ore), k) dewatering (mining, quarry rock production, dewatering (mining, quarry rock production, and other operations where water and other operations where water is withdrawn withdrawn in in order order to conduct conduct another another activity),

activity), and and 1) I) any any other other useuse not not defined defined above.

above.

Total of lines 12(a) through Total of lines 12(a) through 12(1) must equal 100. 12(1) must equal 100.

Part Part C. C. Water Water Withdrawal Withdrawal Information Identify Identify the the source source pointpoint andand quantity quantity of of water water withdrawn withdrawn from from eacheach source source point.

point.

If If water water isis purchased, purchased, give give the the name name of ofthe the municipality municipality or or utility utility district.

district.

Indicate Indicate year year of of withdrawal, withdrawal, ID ID number number (assigned (assigned by by DWS),

DWS), sourcesource namename commonly commonly used used by by withdrawer withdrawer to to refer refer to to the the source, source, i.e. i.e. Smith Smith Spring, Spring, Big Big Creek Creek intake, intake, Collier Collier RoadRoad Well.

Well. Withdrawals Withdrawals made made fromfrom multiple multiple wells wells that that areare measured measured at at anan entry entry point point ma-ma) be be reported reported as as aa single single figure figure andand described described as as aa well well field, field, e.g.

e.g.

Thomson Well Field. If there are several Thomson Well Field. If there are several source points, each metered source points, each metered separately, separately, pleaseplease report report thethe withdrawal withdrawal of ofeacheach source source point-point Indicate Indicate ifjf water water is is from

!Tom Ground Ground Surface,Surface, or or Purchased Purchased source.source.

CN-1226 (Rev.

CN-1226 (Rev. 12/06) 12/06) -- I1-- RDA RDA2854 2854

Enter the County, Latitude and Longitude Longitude for each source point. It is important that location information information be as accurate as possible. A GPS unit may be used to give the latitude and longitude in decimal decimal format. If you do do not know the not know and longitude of the latitude and the latitude the intake, use river mile or attach a topographic topographic map with the withdrawal withdrawal point point location(s) location(s) marked with a 0 8 and label the mark according according to Well, Stream Stream or Spring ID used in this registration. Mark discharge point(s) with an X X.. Latitude Latitude longitude may be expressed in in degrees, minutes minutes and seconds or in decimal decimal degrees. All USGS topographic maps are set up in degrees, minutes and and seconds.

seconds. USGS maps are referenced to either the North American Datum of 1927 (NAD 27) or or 1983 (NAD 83). Most Most USGS maps are prepared in NAD 27. Newer maps are based on NAD 83. 83. NAD information information is listed in the lower left hand comer comer of the 7.5 minute U.S. Geological Geological Survey topographic topographic map.

Check the appropriate NAD datum.

Use Use thethe Method Method of Measurement Key (A, (A, S,B, C, D, D, E) to indicate indicate how the volume of water withdrawn is is determined (A=flow determined (A-flow meter, B=calculated B=calculated using pump capacity and duration, C-capacity C=capacity of vessel, D=electronic flow measurement, measurement, or E-other).

E=other). If you select E, explain method of measurement.

13. Add
13. Add all of the water all of water withdrawals together and give the total \*olume volume withdrawn in million million gallons.
14. Divide the total volumevolume of water withdrawn withdrawn (line 13) 13) by the total number of days water was withdrawn (Line 11). This is is the average water withdrawal withdrawal in million gallons per day. The figure should be fairly large.

For example, example, 2,600,000 gallons would be expressed as "2.6 MG." MG."

15. Enter
15. Enter the maximum maximum daily water withdrawal withdrawal made during during the year in million gallons gallons and enter the month in which the withdrawal was made (e.g., (e.g., August).

Part D. Water Discharge Part It is It is very very important important to to indicate indicate the point(s) of return return and total discharge. The return return information information is identifying potential conflicts. Report water that is discharged extremely helpful in identifYing discharged to a stream, lake, well, spray, public spray, sewer system, public sewer septic tank, system, septic tank, field tile. Do not report water that is consumed in an operation operation e.g.

irrigation of a golf course.

Indicate Indicate year of discharge, discharge, 1D ID number number (assigned by DWS), discharge site name. As in water withdrawals, discharge discharge points in close proximity may be identified identified as a discharge field. If there are several discharge points, each metered metered separately, please please report the volume of each discharge point individually.

individually.

Enter the River Mile, County,County, NPDS permit #, Latitude, Longitude, percent of effluent, and volume returned at each discharge site (million gallons).

16. Add
16. Add all of the discharge discharge volumes together to get the total volume of dischargeddischarged water in million gallons.

Total Total volume volume discharged discharged (in(in million gallons) may be based on a measured point of return or estimated.

million gallons)

Part E. Signature Signature

17. Print name and date.
18. Sign and mail the Water Registration Registration to:

Division of Water Supply Division TN TN Department Department of of Environment and Conservation th th 6 Floor L&C Tower, 401 Church St.

Nashville, TN 37243-1549 Nashville, 37243-1549 Water Withdrawal Water Withdrawal Registration Registration Forms Forms areare due to Division of to the Division of Water Supply Supply byby February Februarv 15. 15.

For assistance For assistance in in completing completing Water Withdrawal Registration, contact:

Wayne Muirhead Environmental Specialist Environmental 615-253-4067 FAX:615-532-0503 615-253-4067 FAX:615-532-0503 CN-1226 (Rev. 1206) ]2/06) RDA RDA28542854